Anxiety therapists in Tiffin, Ohio OH
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Jayson L. Mystkowski
Psychologist, Ph.D., ABPP
While Cognitive-Behavior Therapy (CBT) is highly effective in the treatment of anxiety disorders (e.g., Panic Disorder, Social Phobia, and Obsessive-Compulsive Disorder), clinicians do see some “return of fear,” or partial relapse, in some patients due to a variety of factors. Over the past two decades, treatment researchers, with whom Dr. Jayson Mystkowski had the pleasure of working with at UCLA for over 10 years, have studied “return of fear” and discovered some key variables that may optimize the effects of learning during CBT for anxiety disorders (Craske et al., 2008).
First, evidence suggests that focusing on tolerating fear versus eliminating fear yields better clinical outcomes in the long term. Namely, teaching clients that fear and anxiety are normal feelings, rather than attempting to “down-regulate” such feelings all the time, is more realistic and seems to engender “hardier” clients. Second, helping clients to generate an expectancy that “scary things will not happen,” is very powerful. To do this, it is important for clinicians to create more complex exposure exercises (i.e., tasks in which a client confronts a stimulus of which they are afraid), using multiple feared stimuli instead of one at a time. Then, the lack of a feared outcome becomes particularly surprising and memorable for a client and fear reduction is more potent. Third, increasing the accessibility and retrievability of non-fear memories learned during treatment are powerful factors in mitigating against a return of fear. Craske and colleagues demonstrated that exposure to variations of a feared stimulus, using a random schedule across multiple contexts or situations, is more effective than exposure to the same stimulus, on a predictable schedule, in an unchanging environment. The former paradigm, it is argued, creates stronger non-fear memories that are easier for a client to access when subsequently confronting feared objects or situations outside of the therapy context, than the later scenario.
In sum, clinicians have long been aware that some fear or anxiety returns following very successful CBT treatment. As mentioned above, there are some clear, empirically supported ways to modify the therapy we provide to further help clients generalize the gains made in therapy sessions to the real world.
20 Years Experience
Online in Tiffin, Ohio
HealthWise Hypnosis
Hypnotherapist, CHt
I help empower clients to overcome the challenges that hold them back from living a life of peace and fulfillment.
Using the transformative power of hypnotherapy, I provide a safe and supportive environment where clients can confront and conquer their anxieties and fears. Together, we explore the root causes of these emotional barriers, develop effective coping mechanisms, and reframe negative thought patterns. Witnessing my clients regain their confidence, find inner calm, and embrace a life free from anxiety or fear is truly rewarding.
15 Years Experience
Online in Tiffin, Ohio (Online Only)
Reed Counseling Specialists, PLLC
Licensed Clinical Social Worker, LCSW,LICSW, LISW-S, LISW
I have specialized training to help with managing anxiety, panic attacks, ruminations- and all the things that keep you tense, worried, and tied in knots. Together we will navigate ways to reduce anxiety and achieve a sense of peace.
4 Years Experience
Online in Tiffin, Ohio (Online Only)
Laura G. Kogan
Psychologist, Psy.D.
I have been working with people suffering from anxious fearful feelings for many years and would be glad to speak with you about how we might work together in ways that would be helpful for you.
34 Years Experience
Online in Tiffin, Ohio
Abby Cobey
Psychologist, PsyD
A lot of us deal with fears and anxiety. I like to think of fear as the emotion and anxiety as the disorder of the emotion out of control. Stress is mixed in here too. It can be hard to treat anxiety and fear because ultimately you'll have to face that which you are afraid of and that's uncomfortable. But we can take steps to build your confidence in facing the challenge ahead.
13 Years Experience
Online in Tiffin, Ohio